Almond Leaf Chiropractic, PLC
Organization Active NPI Chiropractor · Rockford, MI
NPI 1376887638 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1376887638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ALMOND LEAF CHIROPRACTIC, PLC
- Practice address
- 6411 Bella Vista Dr NE
Ste #2
Rockford, MI 49341-7869 - Phone
- (616) 874-7255
- Fax
- (616) 874-7196
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Matt R. Devreugd, D.C.
- Title
- Owner
- Phone
- (616) 874-7255
Practitioners 1
-
Matt Devreugd, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130417000344 | MI | Part B Supplier - Clinic/Group Practice | 2264678234 |
Receives reassigned benefits from 1 practitioner Practice locations: Rockford, MI |
National Provider Directory
Locations
6411 Bella Vista Dr NE
Ste 2
Rockford, MI 49341
Phone (616) 447-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
6411 Bella Vista Dr NE
Ste #2
Rockford, MI 49341-7869
Mailing address
6411 Bella Vista Dr NE
Ste #2
Rockford, MI 49341-7869
Phone (616) 874-7255
Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.